Dr. GLENN D GREEN O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1598742827- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 3882 N FOXTAIL RD, POST FALLS, ID, 838540264
- Phone
- (360) 739-6887
- Fax
- (208) 457-7008
Specialties & Taxonomies
Optometrist
License: WA #OD00001910
Optometrist
Primary License: ID #ODP-100616